Simply download the required forms below and FAX them to us at 813-662-2814. IT’S THAT EASY!
| Download forms here (PDF) | |
| » Confidential Hormone | » Pharmacy RX Solutions CC Authorization |
| » Patient Confidentiality Statement | » Patient Authorization Agreement |
Please feel free to call us if you have any further questions at 1-866-662-0693 or email us at
info@pharmacyrxsolutions.com
* Prices are subject to change without notification based on supplier shortages and manufacturer price increases.